NPIMap

Individual provider Active NPI

Barry Dean Bertolet, MD

  • Cardiovascular Disease Physician
  • Tupelo, MS
National Provider Identifier
1295845444
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11333 Issued in MS
Practice address
499 Gloster Creek Village a-2
Cardiology Associates of N. Ms, PA
Tupelo, MS 38801
Phone
(662) 620-6800
Fax
(662) 620-6950
NPI assigned
Aug 30, 2006
Last updated
Aug 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11333 MS Primary
Interventional Cardiology Physician 207RI0011X 11333 MS

Addresses

Primary practice location

499 Gloster Creek Village a-2
Cardiology Associates of N. Ms, PA
Tupelo, MS 38801

Mailing address

499 Gloster Creek VLG Ste A2
Cardiology Associates of N. Ms, PA
Tupelo, MS 38801-4749
Phone (662) 620-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071205000048 MS Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0042309643 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Mississippi School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Mississippi Clinics LLCGroup PAC ID 3870773914, 21 clinicians

Practice addresses (Care Compare)

499 Gloster Creek VLG
Suite A2
Tupelo, MS 38801-4749
Phone (662) 620-6800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting37
Leg revascularization (restoring blood flow)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Services LLC Current Accepting new patients
North Mississippi Clinics LLC Cardiovascular Disease Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Clinics LLC Cardiovascular Disease CurrentSince Mar 21, 2023 Accepting new patients
North Mississippi Clinics LLC Cardiovascular Disease CurrentSince Mar 21, 2023 Accepting new patients
Cardiology Associates of North Ms PA Cardiovascular Disease CurrentSince Sep 30, 1997 Accepting new patients
North Mississippi Medical Center Services LLC CurrentSince Oct 1, 2018 Accepting new patients
Webster Health Services, Inc. Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

2459 5th St N
Columbus, MS 39705
Phone (662) 327-3092

3302 W Linden St
Corinth, MS 38834
Phone (662) 286-6068

616 Alcorn Dr
Corinth, MS 38834
Phone (662) 286-0206

2892 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-7441

499 Gloster Creek Vlg
Ste A2
Tupelo, MS 38801
Phone (662) 620-6800

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

830 S Gloster St
Fl 3
Tupelo, MS 38801
Phone (662) 377-7170

Interoperability endpoints

  • Direct secure messaging: barrybertolet@nmhs.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Ms Medical CenterTupelo, MS, CCN 250004 Hospital Corporate Director Oct 1, 2021
North Ms Med Psych UnitTupelo, MS, CCN 25S004 Hospital Corporate Director Oct 1, 2021
North Ms Med Rehab UnitTupelo, MS, CCN 25T004 Hospital Corporate Director Oct 1, 2021
North Ms Medical Center Home Health AgencyTupelo, MS, CCN 257002 Home health agency Corporate Director Oct 1, 2021
North Ms Medical Center HospiceTupelo, MS, CCN 251501 Hospice Corporate Officer Oct 1, 2021

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1295845444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE A2",
            "address_2": "CARDIOLOGY ASSOCIATES OF N. MS, PA",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014749",
            "telephone_number": "662-620-6800",
            "fax_number": "662-620-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VILLAGE A-2",
            "address_2": "CARDIOLOGY ASSOCIATES OF N. MS, PA",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-620-6800",
            "fax_number": "662-620-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLET",
        "first_name": "BARRY",
        "middle_name": "DEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "11333",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MS",
            "license": "11333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.